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在新发传染病的背景下探索男性的自我保健实践和健康信念:巴西猴痘大流行的教训。

Exploring self-care practices and health beliefs among men in the context of emerging infectious diseases: Lessons from the Mpox pandemic in Brazil.

机构信息

School of Nursing, Federal University of Bahia, Salvador, Brazil.

Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Nurs Inq. 2024 Jul;31(3):e12635. doi: 10.1111/nin.12635. Epub 2024 Apr 1.

Abstract

Our goal was to explore self-care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self-care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self-care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self-care practices can be facilitated by nurses guided by Dorothea Orem's Self-Care Theory, supported by patient-centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self-care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio-cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts.

摘要

我们的目标是探讨巴西猴痘疫情背景下男男性行为者的自我保健行为。本研究采用定性研究方法,包括访谈和主题分析,从巴西各地的男性参与者那里收集和分析数据。这些叙述揭示了男性在猴痘大流行期间对自我保健、降低风险和健康信念的看法。我们的研究结果突出了男性自我保健的多方面方法,包括个人卫生、身体接触管理、戴口罩、关注皮肤损伤和遵守官方指南。男性对性行为的态度强调减少性伴侣、安全性行为以及通过准确信息传播来对抗错误信息的重要性。护士可以在多萝西娅·奥雷姆的自我护理理论的指导下促进这些行为和自我保健实践的发展,以患者为中心的护理为支撑,制定解决和应对与疾病相关的污名化的策略,并提供情感支持。因此,该研究强调了自我保健在减轻感染风险方面的关键作用,特别是在新发传染病的背景下。它承认社会文化因素和医疗保健政策对男性预防措施的影响。然而,它也认识到了一些局限性,如由于污名化问题可能存在的偏见以及样本代表性不足。最终,该研究倡导有针对性的教育、促进性别平等和医疗保健赋权,以在这种情况下有效地管理健康风险。

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